Podcast
Questions and Answers
What does the concept of accessibility refer to in health care services?
What does the concept of accessibility refer to in health care services?
- The affordability of services for all individuals.
- The cultural relevance of healthcare services.
- The physical presence of healthcare facilities.
- The ease with which people can reach healthcare services. (correct)
Which of the following is NOT a dimension of access to health services?
Which of the following is NOT a dimension of access to health services?
- Quality
- Affordability
- Rurality (correct)
- Availability
What is a major obstacle to communities accessing health care services?
What is a major obstacle to communities accessing health care services?
- High quality of available services.
- Excessive number of healthcare providers.
- Universal Health Coverage implementation.
- Cultural beliefs against seeking help. (correct)
Which factor is essential for achieving equity in health services?
Which factor is essential for achieving equity in health services?
What is the primary goal of Universal Health Coverage?
What is the primary goal of Universal Health Coverage?
What is a key characteristic of the National Health Insurance Model?
What is a key characteristic of the National Health Insurance Model?
Which of the following financing mechanisms relies on direct contributions based on income?
Which of the following financing mechanisms relies on direct contributions based on income?
How does taxation benefit health funding?
How does taxation benefit health funding?
What is a major downside of the out-of-pocket/private health model?
What is a major downside of the out-of-pocket/private health model?
What defines the principle of 'risk-sharing' in private health insurance?
What defines the principle of 'risk-sharing' in private health insurance?
What is a key framework for improving access to health services?
What is a key framework for improving access to health services?
Which of the following is NOT one of the three elements embodied in Universal Health Coverage?
Which of the following is NOT one of the three elements embodied in Universal Health Coverage?
Which of the following strategies is associated with community-based approaches to health service access?
Which of the following strategies is associated with community-based approaches to health service access?
What is one of the trade-offs involved in ensuring equity in health coverage?
What is one of the trade-offs involved in ensuring equity in health coverage?
What role do cultural competency training programs play in improving access to health services?
What role do cultural competency training programs play in improving access to health services?
Which of the following interventions directly addresses social barriers in healthcare?
Which of the following interventions directly addresses social barriers in healthcare?
Which approach emphasizes the importance of decentralising health services?
Which approach emphasizes the importance of decentralising health services?
Which dimension of Universal Health Coverage is focused on ensuring services provided are adequate in quality?
Which dimension of Universal Health Coverage is focused on ensuring services provided are adequate in quality?
What is the primary focus of health equity?
What is the primary focus of health equity?
Which of the following best defines equity in health?
Which of the following best defines equity in health?
What is a significant disparity highlighted between low-income and high-income countries?
What is a significant disparity highlighted between low-income and high-income countries?
What does the lifespan data indicate about life expectancy in low-income countries?
What does the lifespan data indicate about life expectancy in low-income countries?
Which statement aligns with the quote by Silvia Parker on equity?
Which statement aligns with the quote by Silvia Parker on equity?
What is the relationship between income level and life expectancy depicted in the content?
What is the relationship between income level and life expectancy depicted in the content?
In terms of creating health equity, what is desired?
In terms of creating health equity, what is desired?
Which of the following statements best captures the essence of health equity?
Which of the following statements best captures the essence of health equity?
What is one key indicator of Universal Health Coverage (UHC)?
What is one key indicator of Universal Health Coverage (UHC)?
Which factor is essential for achieving Universal Health Coverage?
Which factor is essential for achieving Universal Health Coverage?
What is the primary function of risk assessors (actuaries) in the context of insurance?
What is the primary function of risk assessors (actuaries) in the context of insurance?
Which of the following best describes out of pocket payments (OOP)?
Which of the following best describes out of pocket payments (OOP)?
What can significantly improve health systems' ability to provide quality services?
What can significantly improve health systems' ability to provide quality services?
What is catastrophic expenditure in healthcare?
What is catastrophic expenditure in healthcare?
What is a major consequence of overreliance on direct payments in healthcare?
What is a major consequence of overreliance on direct payments in healthcare?
What is meant by 'revenue collection' in the context of health system financing?
What is meant by 'revenue collection' in the context of health system financing?
Who is responsible for paying premiums for expatriate employees in Bahrain's healthcare system?
Who is responsible for paying premiums for expatriate employees in Bahrain's healthcare system?
What does the National Health Insurance Fund in Bahrain primarily finance?
What does the National Health Insurance Fund in Bahrain primarily finance?
Which action can address social determinants of health effectively?
Which action can address social determinants of health effectively?
Which of the following is a solution to address out of pocket payments for low-income individuals?
Which of the following is a solution to address out of pocket payments for low-income individuals?
Which statement is true regarding the availability of resources for healthcare?
Which statement is true regarding the availability of resources for healthcare?
What can result from catastrophic expenditure on health care?
What can result from catastrophic expenditure on health care?
What does the term 'affordability' refer to in the context of UHC?
What does the term 'affordability' refer to in the context of UHC?
Which factor does NOT influence the premium level that an insurance company may set?
Which factor does NOT influence the premium level that an insurance company may set?
Flashcards
Access to Health Services
Access to Health Services
The timely use of healthcare services to achieve optimal health outcomes, encompassing availability, accessibility, affordability, acceptability, and quality.
Availability (Access)
Availability (Access)
Existence of healthcare services in the community.
Accessibility (Access)
Accessibility (Access)
Ease of reaching healthcare services.
Affordability (Access)
Affordability (Access)
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Acceptability (Access)
Acceptability (Access)
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Quality (Access)
Quality (Access)
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Health Equity
Health Equity
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Equity in Health
Equity in Health
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Health Disparities
Health Disparities
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Life Expectancy and Income
Life Expectancy and Income
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Universal Health Coverage (UHC)
Universal Health Coverage (UHC)
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Equity in Access
Equity in Access
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Range and Quality of Services
Range and Quality of Services
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Financial-Risk Protection
Financial-Risk Protection
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Policy Interventions (UHC)
Policy Interventions (UHC)
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Community-Based Approaches
Community-Based Approaches
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Health System Strengthening
Health System Strengthening
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Health Financing Reforms
Health Financing Reforms
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Addressing Social Barriers
Addressing Social Barriers
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Universal Health Coverage (UHC)
Universal Health Coverage (UHC)
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Essential Health Services
Essential Health Services
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Health System Financing
Health System Financing
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Cost-Sharing
Cost-Sharing
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Catastrophic Costs
Catastrophic Costs
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Pooled Funds
Pooled Funds
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Health System Efficiency
Health System Efficiency
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Social Determinants of Health
Social Determinants of Health
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Health System
Health System
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Revenue Collection
Revenue Collection
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National Health Insurance Model
National Health Insurance Model
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Out-of-pocket/private model
Out-of-pocket/private model
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Taxation (direct)
Taxation (direct)
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Taxation (indirect)
Taxation (indirect)
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Social Health Insurance
Social Health Insurance
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Private Health Insurance
Private Health Insurance
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Insurance company payments
Insurance company payments
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Risk assessment (actuaries)
Risk assessment (actuaries)
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Premium level
Premium level
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Out-of-pocket payments (OOP)
Out-of-pocket payments (OOP)
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Catastrophic expenditure
Catastrophic expenditure
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Health Insurance Fund (Bahrain)
Health Insurance Fund (Bahrain)
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Mandatory medical insurance
Mandatory medical insurance
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General Govt. Health Expenditure
General Govt. Health Expenditure
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Out-of-Pocket Payments
Out-of-Pocket Payments
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UHC (Universal Health Coverage)
UHC (Universal Health Coverage)
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Study Notes
Access and Equity
- Access to healthcare services involves the timely use of services for optimal health outcomes
- Availability, accessibility, affordability, acceptability, and quality of services are crucial components of achieving optimal outcomes
- Universal Health Coverage aims to ensure all people can access services without financial hardship
Key Enablers and Barriers
- Individual factors like education level, prior health system experience, and autonomy influence access
- Household factors such as income, social capital, and religious beliefs also play a role
- Community beliefs and religious views, as well as distance to healthcare facilities, waiting times, and health worker attitudes affect access
- Health system availability of essential medicines and supplies impacts access
Consequences of Limited Access
- Unequal access leads to preventable diseases, early mortality, and poor health outcomes, placing higher burdens on disadvantaged groups
- Financial burden on households can occur due to untreated illnesses.
- Reduced productivity due to untreated health problems results
- Social and health disparities widen
- Marginalization of vulnerable populations happens
Health Equity Defined
- Health equity is the absence of avoidable differences in benefits available to people, regardless of social, economic, demographic, or geographic factors
- Health equity aims to create equal opportunities for health and reduce disparities
Measuring Universal Health Coverage (UHC)
- Proportion of the population accessing essential quality health services (SDG 3.8.1)
- Proportion of the population spending a significant amount of household income on health (SDG 3.8.2)
Achieving UHC
- Requires a strong health system meeting priority needs through people-centered integrated care
- Requires a financing system that prevents financial hardship for healthcare use
- Essential medicines and technologies are crucial for diagnosis and treatment
- Well-trained and motivated healthcare workers are vital for service delivery
- Addressing social determinants of health (education, living conditions, and household income) is crucial
Policy Level Barriers to UHC
- Resource scarcity, preventing universal access to necessary technologies and interventions
- Over-reliance on direct payments (e.g., medicine or consultation fees) leading to catastrophic costs
- Inefficient use of resources (e.g., 20-40% wasted) reducing service quality and increasing health issues
Health System Financing Mechanisms
- Direct taxation (e.g., income tax) and indirect taxation (e.g., taxes on harmful products)
- Social health insurance (employer/employee contributions)
- Private health insurance (contractual agreements)
- Out-of-pocket payments (direct payments to providers)
Healthcare Financing Models
- Beveridge Model: Government-funded healthcare facilities and staff, aiming for universal coverage with low costs per capita
- Bismarck Model: Employer/employee financed healthcare insurance, often non-profit, which may exclude lower-income individuals. It focuses on greater cost accessibility.
- National Health Insurance Model: Private providers but paid through a government insurance program, aimed at universal access and cost control.
- Out-of-pocket model: Healthcare access is dependent on income; those with higher income can access healthcare with ease whereas those with lower income may not be able to achieve sufficient access.
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